Morning Erections: A Teen's Guide to Changes and Concerns - Urology

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Morning erection issues?


Hello doctor, I am a high school student.
About a month ago, I adjusted my sleep schedule, going to bed earlier and changing my wake-up time from 6 AM to 4 AM.
Since this change, I have almost stopped experiencing morning erections.
Last week, I had a nocturnal erection during the night, but when I wake up in the morning, I do not have one.
The hardness and other aspects of my erections seem to be the same as before.
Could you please provide some insight?

Jun, 10~19 year old female. Ask Date: 2021/10/05

Dr. Du Shixi reply Urology


Hello: If you are not getting enough sleep, it is recommended to drink more water in the evening and to engage in some exercise during the day.
Wishing you good health.

Reply Date: 2021/10/05

More Info


Morning erections, also known as nocturnal penile tumescence, are a normal physiological phenomenon that occurs during sleep, particularly during the REM (Rapid Eye Movement) phase. For teenage boys, experiencing morning erections is a common occurrence and is often seen as a sign of healthy sexual function. However, changes in sleep patterns, stress levels, and overall health can influence the frequency and occurrence of these erections.

In your case, you mentioned that you adjusted your sleep schedule from waking up at 6 AM to 4 AM. This significant change in your routine could be one of the factors affecting your morning erections. The body has a natural rhythm, and altering your sleep schedule can disrupt this rhythm, potentially leading to changes in hormonal levels and bodily functions. It's important to note that sleep is crucial for the regulation of hormones, including testosterone, which plays a vital role in sexual health and function.

Additionally, the quality of sleep is just as important as the quantity. If you are waking up earlier but not getting enough restorative sleep, this could also impact your body's ability to produce morning erections. Sleep deprivation can lead to increased stress and anxiety, which can further affect sexual function. It’s essential to ensure that you are getting adequate sleep, ideally between 7 to 9 hours per night, to support your overall health and well-being.

You also mentioned experiencing a nocturnal erection during the night, which indicates that your body is still capable of achieving erections, even if they are not occurring in the morning as frequently as before. This is a positive sign, as it suggests that your erectile function is intact. The absence of morning erections does not necessarily indicate a problem, especially if you are still able to achieve erections at other times.

If you are concerned about the changes you are experiencing, it may be helpful to reflect on other factors that could be influencing your sexual health. Stress, anxiety, and lifestyle changes can all play a role in sexual function. Engaging in regular physical activity, maintaining a balanced diet, and managing stress through relaxation techniques can all contribute to better sexual health.

If the absence of morning erections continues or if you experience any other concerning symptoms, it would be wise to consult a healthcare professional. They can provide a thorough evaluation and address any underlying issues that may be affecting your sexual health. Remember, it’s normal for teenagers to experience fluctuations in sexual function as they go through various physical and emotional changes.

In summary, while the changes in your morning erections may be concerning, they can often be attributed to adjustments in your sleep schedule and overall health. Focus on maintaining a healthy lifestyle, getting enough restorative sleep, and managing stress. If you have ongoing concerns, don’t hesitate to reach out to a healthcare provider for further guidance.

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